Implementation strategies to enhance management of heavy alcohol consumption in primary health care: a meta-analysis Conclusions Strategies should include a combination of patient, professional and organisational oriented implementation approaches and involvement of mid-level professions as well as physicians. Evidence for a new and innovative combination of multiple implementation approaches to increase alcohol focused SBI uptake in PHC, is required.4

INTRODUCTION AND AIMS-To explore the association between primary care professionals' (PCPs) attitudes towards unhealthy alcohol and other drug (AOD) use (from risky use through dependence) and readiness to implement AOD-related preventive care.

Alcohol, like mental health, is a neglected topic in public health discussions. However, it should be defined as a priority public health area because the evidence available to support this is very persuasive. Although only half the world's population drinks alcohol, it is the world's third leading cause of ill health and premature death, after low birth weight and unsafe sex, and the world's greatest cause of ill health and premature death among individuals between 25 and 59 years of age. This article aims to outline current global experiences with alcohol policies and suggests how to communicate better evidence-based policy responses to alcohol-related harm using narratives. The text summarizes 6 actions to provide incentives that would favor a healthier relationship with alcohol in contemporary society. Actions include price and availability changes, marketing regulations, changes in the format of drinking places and on the product itself, and actions designed to nudge people at the time of their purchasing decisions. Communicating alcohol narratives to policymakers more successfully will likely require a discourse emphasizing the reduction of heavy drinking occasions and the protection of others from someone else's problematic drinking.

Cruvinel et al.: Factors that facilitate diagnosis and brief intervention for risky alcohol use in Brazilian primary health care settings. Addiction Science & Clinical Practice 2012 7(Suppl 1):A53.